Client Coaching Agreement (Marisa Radha Weppner)
Agreement
Welcome to life coaching and spiritual guidance. I am happy to have you as a client. Because It is important we have a clear understanding about our work together, please read the agreement carefully before signing. Please also complete the Intake in this form as well as the Client History, found here: https://forms.gle/rgHCbgf8WAfWZcu16

Nature and Length of Sessions:
 I am committed to results and having each session be meaningful and productive. I ask you to take responsibility for creating value and results for yourself. I see myself as a coach and it is primarily up to you to do the work (and apply what you have learned in your life), to ask for what you want each session, and give me feedback about what works or doesn’t work for you and if there is any more effective way I can assist you.

I will normally request an initial verbal contract about the nature and length of our work together. People participate in coaching anywhere from 1-24, 1 hour long sessions. Long term coaching is scheduled on an ongoing bi-weekly basis.

We encourage you to keep your regularly scheduled appointments, as the results of our work together are cumulative. The best results usually happen because of your consistency and follow through.

Booking Sessions: Please use my Calendly: https://calendly.com/marisaradha/life-coaching .You may also text or email me to see if I have last minute openings.

Missed Appointment:  I understand that emergencies can happen to anyone; therefore if an emergency keeps you from attending a session please call whenever possible to let me know of the circumstances. Such events as death in the family, serious accidents, serious illness and hospitalization are considered “emergencies”; otherwise, your appointment is reserved strictly for you. Please call to cancel at least 24 hours in advance or the full amount or a missed appointment fee will be charged.

Payment: Payment is due when services are rendered. This means each session will be accompanied by full payment unless other arrangements have been made prior. Your fee for coaching is $160 per session, or $600 for 4. If you choose to purchase a block of sessions, this is a solid commitment to complete our work together. If you choose not to follow through on this commitment, no refunds will be granted (for any remaining portion of the block of sessions.)

Payment can be made via:
Paypal: radha@eastforest.org (friends + family)
Venmo: @marisaradhaweppner (Please do *not* hit "turn on for purchases" - simply pay the fee like you were sending money to a friend.)
Zelle: marisaweppner@gmail.com (Sage Yoga and Wellness LLC)

Communication:  Please feel free to text me or leave messages on my voice mail. My number is 208-841-7477. If your call is urgent, please let me know and I will call you back as soon as I can.

I am happy to support you briefly (10 minutes or less) over the phone when I am free of other commitments. If we do have an extended telephone consultation this will be billed at the rate of your individual sessions in 15-minute blocks.

Confidentiality:  Whatever we discuss is strictly confidential. If you wish for me to make contact or do research for you or leave messages with others I will need a release giving me permission to do so.

Termination:  Because a good termination process is important to your personal growth you are asked to give a one-session notice. This is so that we can review goals, I can make recommendations for further steps you can take, and we can say goodbye in a meaningful and complete way.

Please keep me informed of your address and phone number so we can stay in communication. I am very interested in your ongoing progress. I would appreciate your contacting me by phone or e-mail every 3 months and letting me know how you’re progressing toward the goals we established during our time together.


Client Intake
And please complete the Client History. The Client Intake and History are required. 
Name *
Today's date *
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Birth date *
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Email *
Address *
Preferred pronouns *
Phone number *
Ok to leave text and voice mail? *
Marital Status *
Occupation and Employer *
Emergency Contact and Relationship *
Where did you hear about my services? *
Have you experienced coaching, counseling or career counseling before? If yes, please describe. *
Are there any medical conditions you are currently seeing a doctor for? If yes, please describe. *
Method of Payment *
Comments
Type Name for Signature of Agreement *
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